DATA SHEET 2001    REGISTRATIONFORM    INFORMATION REGISTRATIONFORM   Surname*: First Name,*: City*: Street*: Country*: Date of Birth*: Tel.: Fax.: Email: Profession: Sex*: female male Accommodation with a host family: single room double room I wish to register for course nos.: from: till: Standardprogramme Elementary level IA IB II III Intermediate level I II III Advanced level Standardprogramme Plus Elementary level IA IB II III Intermediate level I II III Advanced level Holiday Course Elementary level IA IB II III Intermediate level I II III Advanced level Individual Course Evening Course Fluency Training DSH-Preparatory Course Please fill in all gaps with * !   I accept the terms of participation and undertake to pay the course fees at the latest 4 weeks before commencement of the course. Cost of accommodation should be paid directly to your hotel or your host family. Payments to: Stadtsparkasse Augsburg, Konto 0 358 119, BLZ 720 500 00, Postgiroamt München, Konto 58 550-804, BLZ 700 100 80.